PMID- 32394733
OWN - NLM
STAT- MEDLINE
DCOM- 20210917
LR  - 20220503
IS  - 1540-2010 (Electronic)
IS  - 1540-2002 (Print)
IS  - 1540-2002 (Linking)
VI  - 19
IP  - 3
DP  - 2021 May-Jun
TI  - Perceived Stress, Subjective, and Objective Symptoms of Disturbed Sleep in Men 
      and Women with Stable Heart Failure.
PG  - 363-377
LID - 10.1080/15402002.2020.1762601 [doi]
AB  - Objective/Background: Sleep disturbance is prevalent among patients with heart 
      failure (HF) and is associated with increased morbidity and mortality. Stress 
      also affects health and quality of life among patients with cardiovascular 
      disease and likely plays a prominent role in HF. However, little is known about 
      the associations between stress and sleep among HF patients.Participants: One 
      hundred fifty-three stable New York Heart Association (NYHA) Classification I-IV 
      HF patients with at least low symptoms of insomnia (M(age):63.0 +/- 12.8, 42% 
      Women).Methods: We examined baseline stress, sleep disturbance, and sleep-related 
      characteristics from a randomized controlled trial of cognitive behavioral 
      therapy for insomnia, including the Perceived Stress Scale, Insomnia Severity 
      Index, Pittsburgh Sleep Quality Index, Epworth Sleepiness Scale, Sleep 
      Disturbance Questionnaire, Dysfunctional Beliefs about Sleep Scale, PROMIS 
      Cognitive Ability, SF-36 Mental Health, and wrist actigraphy. We used Pearson 
      correlations and general linear models to assess stress-sleep associations, 
      including the potential moderating effects of sex and symptom severity 
      (NYHA).Results: There were moderate-to-large correlations between stress and 
      self-reported sleep disturbance, dysfunctional beliefs about sleep, cognitive 
      ability, and mental health (p's < 0.01). High stress was associated with more 
      objectively-measured (i.e., actigraph-assessed) awakenings and sleep 
      fragmentation among women than men (beta = - 0.04, p < 0.01; beta = - 0.71, p = 0.04). 
      Relationships between stress and objectively-measured sleep did not vary by 
      symptom severity.Conclusions: Perceived stress is related to sleep disturbance 
      among HF patients, and effects may be sex-dependent. Subsequent research should 
      determine the temporal links between sleep and stress, and optimal opportunities 
      for intervention among HF patients.
FAU - Gaffey, Allison E
AU  - Gaffey AE
AUID- ORCID: 0000-0002-2960-2772
AD  - Department of Internal Medicine (Cardiovascular Medicine), Yale School of 
      Medicine, New Haven, Connecticut.
AD  - VA Connecticut Healthcare System, West Haven, Connecticut.
FAU - Jeon, Sangchoon
AU  - Jeon S
AUID- ORCID: 0000-0003-2855-2053
AD  - Yale School of Nursing, Orange, Connecticut.
FAU - Conley, Samantha
AU  - Conley S
AUID- ORCID: 0000-0002-4501-5244
AD  - Yale School of Nursing, Orange, Connecticut.
FAU - Jacoby, Daniel
AU  - Jacoby D
AUID- ORCID: 0000-0002-9182-275X
AD  - Department of Internal Medicine (Cardiovascular Medicine), Yale School of 
      Medicine, New Haven, Connecticut.
FAU - Ash, Garrett I
AU  - Ash GI
AUID- ORCID: 0000-0002-8655-7525
AD  - VA Connecticut Healthcare System, West Haven, Connecticut.
AD  - Department of Internal Medicine (General), Yale School of Medicine, New Haven, 
      Connecticut.
FAU - Yaggi, Henry K
AU  - Yaggi HK
AD  - VA Connecticut Healthcare System, West Haven, Connecticut.
AD  - Department of Internal Medicine (Pulmonary, Critical Care, and Sleep Medicine), 
      Yale School of Medicine, New Haven, Connecticut.
FAU - O'Connell, Meghan
AU  - O'Connell M
AD  - Yale School of Nursing, Orange, Connecticut.
FAU - Linsky, Sarah J
AU  - Linsky SJ
AUID- ORCID: 0000-0002-4204-7881
AD  - Yale School of Nursing, Orange, Connecticut.
FAU - Redeker, Nancy S
AU  - Redeker NS
AUID- ORCID: 0000-0001-7817-2708
AD  - Yale School of Nursing, Orange, Connecticut.
LA  - eng
GR  - R01 NR016191/NR/NINR NIH HHS/United States
GR  - UL1 TR001863/TR/NCATS NIH HHS/United States
GR  - K24 HL132093/HL/NHLBI NIH HHS/United States
GR  - P20 NR014126/NR/NINR NIH HHS/United States
GR  - R21 NR011387/NR/NINR NIH HHS/United States
PT  - Journal Article
PT  - Randomized Controlled Trial
PT  - Research Support, N.I.H., Extramural
DEP - 20200512
PL  - England
TA  - Behav Sleep Med
JT  - Behavioral sleep medicine
JID - 101149327
SB  - IM
MH  - Aged
MH  - Female
MH  - *Heart Failure/epidemiology
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Sleep Initiation and Maintenance Disorders/epidemiology/psychology
MH  - *Stress, Psychological/psychology
PMC - PMC7658015
MID - NIHMS1593558
EDAT- 2020/05/13 06:00
MHDA- 2021/09/18 06:00
PMCR- 2022/05/01
CRDT- 2020/05/13 06:00
PHST- 2020/05/13 06:00 [pubmed]
PHST- 2021/09/18 06:00 [medline]
PHST- 2020/05/13 06:00 [entrez]
PHST- 2022/05/01 00:00 [pmc-release]
AID - 10.1080/15402002.2020.1762601 [doi]
PST - ppublish
SO  - Behav Sleep Med. 2021 May-Jun;19(3):363-377. doi: 10.1080/15402002.2020.1762601. 
      Epub 2020 May 12.